Objective To investigate the present situation of breastfeeding difficulties and its influencing factors in an urban area in Beijing,so as to provide scientific evidence for formulating interventions. Methods A cross-sectional survey was conducted to collect data of 120 cases of infants aged 0 to 5 months fed by breast milk and their mothers from Jan.1st to Dec.31th,2016.Participants were investigated with general information questionnaire and Via Christi breastfeeding assessment tool. Results The mean score of Via Christi tool was 8.2±1.4.Seventy percent of infants were assessed as low risk while the rest as medium risk.The items of "length of time before latch-on and suckle" and "latch-on" received lowest scores with 1.0±0.9 and 1.7±0.4.Exclusive breastfeeding during the first week after birth [OR=0.140,95%CI:(0.024~0.802)] and vaginal birth [OR=0.343,95%CI:(0.174~0.879)] were two protective factors of breastfeeding(P<0.05).Floating population [OR=8.679,95%CI:(1.558~48.338)] and preterm [OR=5.470,95%CI:(1.216~25.030)] were two hazardous factors(P<0.05). Conclusions The most problematic procedures during breastfeeding were "latch-on" and "length of time before latch-on and suckle".Priority attention should be given to infants with hazardous factors including floating population,mixed feeding during the first week after birth,preterm,and C-section.
Key words
breastfeeding /
Via Christi Breastfeeding Assessment Tool /
infants
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References
[1] 戴耀华.全球婴幼儿喂养策略[J].中国儿童保健杂志,2007,15(6):567-568.
[2] Victora CG,Bahl R,Barros AJ,et al.Breastfeeding in the 21st century:epidemiology,mechanisms,and lifelong effect[J].Lancet,2016,387(10017):475-490.
[3] Cai X,Wardlaw T,Brown DW.Global trends in exclusive breastfeeding[J].Int Breastfeed J,2012,7(1):1-5.
[4] 卫生部统计信息中心.2008中国卫生服务调查研究:第四次家庭健康询问调查分析报告[R].北京:卫生部统计信息中心,2009.
[5] 国家卫生计生委统计信息中心.2013第五次国家卫生服务调查分析报告[R].北京:中国协和医科大学出版社,2013.
[6] Riordan J.Breastfeeding and human lactation[M].Massachusetts:Jones and Bartlett Publishers,Inc,2005:24-25.
[7] Parker LA,Sullivan S,Krueger C,et al.Strategies to increase milk volume in mothers of VLBW infants[J].MCN Am J Matern Child Nurs,2013,38(6):385-390.
[8] 王炳顺,周利锋,朱丽萍,等.剖宫产术对母乳喂养影响的前瞻性研究[J].中华妇产科杂志,2006,41(4):246-248.
[9] 李琳.剖宫产术后硬膜外连续注射罗哌卡因与吗啡对泌乳素的影响[J].中国药物经济学,2014,9(4):64-65.
[10] 胡旭东,许洁玲,王雪莲,等.硬膜外腔单次注射吗啡联合地佐辛静脉自控镇痛在剖宫产术中的临床研究[J].中国医师杂志,2014,10(Suppl 1):65-67.